Revenue Cycle Integrity Manager - Pharmacy
CFS
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Benefits offered by this job
Job summary
Qualifications
- 5+ years of healthcare revenue cycle experience.
- 2+ years in pharmacy revenue integrity or compliance.
- Strong knowledge of coding and reimbursement processes.
Responsibilities
- Oversee pharmacy revenue workflows.
- Monitor KPIs and perform audits.
- Partner with teams to streamline workflows.
Skills
Education
Tools
Job description
Join to apply for the Revenue Cycle Integrity Manager - Pharmacy role at CFS
3 days ago Be among the first 25 applicants
This range is provided by CFS. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
$100,000.00/yr - $120,000.00/yr
Hybrid – Orlando, FL
$100,000 – $120,000
Join a nationally recognized healthcare system committed to excellence, compliance, and innovation. They are seeking a skilled Pharmacy Revenue Integrity Manager to lead revenue integrity efforts and ensure optimal charge capture, compliance, and reimbursement. This is a highly visible position partnering with finance, pharmacy, and operations leadership to maximize both financial performance and patient care outcomes.
- High-Impact Role: Directly influence revenue integrity and compliance outcomes
- Cross-Functional Collaboration: Work with senior leadership across clinical, financial, and operational teams
- Innovative Environment: Join a system that invests heavily in technology and process improvement
- Oversee pharmacy revenue workflows from charge capture through reimbursement
- Monitor key performance indicators (KPIs), perform audits, and identify revenue leakage risks
- Partner with finance, operations, and pharmacy teams to streamline workflows and improve accuracy
- Manage and maintain the Pharmacy Charge Description Master (CDM) for compliance
- Train staff on proper documentation, billing, and compliance practices
- Prepare and present reports on revenue performance, compliance trends, and audit findings to leadership
- Bachelor’s degree in Pharmacy, Healthcare Administration, Business, or related field (Master’s preferred)
- 5+ years of healthcare revenue cycle experience, including 2+ years in pharmacy revenue integrity, compliance, or related field
- Strong knowledge of pharmacy billing, coding, and reimbursement processes
- Experience with Epic, Cerner, or similar revenue cycle platforms
- Excellent analytical, communication, and leadership skills
- In-depth understanding of regulatory requirements (CMS, HIPAA, payer compliance)
- Career Growth: Ongoing training, leadership development, and advancement opportunities
- Culture: Collaborative, mission-driven team focused on quality patient outcomes
- Comprehensive Benefits: Medical, retirement match, bonus eligibility
- Flexibility: Hybrid schedule and generous PTO for work-life balance
If you are looking for a leadership role where your expertise directly impacts financial integrity and patient care, this is your opportunity to make a measurable difference.
#CFSOCT2025
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Finance and Sales, Industries: Accounting
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